| NPI | 1790513570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA VIGIL Medicaid Billing COO Rdinator 972-308-8354 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2024-07-23 |
| Last Update Date | 2024-07-23 |